Grief, Anxiety, Stillbirth, and Perinatal Problems: Healing With Kangaroo Care  Maria D. Burkhammer, RN, CD(DONA), IBCLC, Gene Cranston Anderson, PhD, RN, FAAN, SheauHuey Chiu, PhD, RN, PNP  Journal of Obstetric, Gynecologic & Neonatal Nursing  Volume 33, Issue 6, Pages 774-782 (November 2004) DOI: 10.1177/0884217504270594 Copyright © 2004 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses Terms and Conditions

Figure 1 Timeline of antepartum course for second pregnancy. This mother's previous pregnancy ended in stillbirth at 28 weeks. In her second pregnancy an ultrasound revealed decreasing amniotic fluid and decreasing fetal growth at 27 weeks (A). At 31 weeks she was hospitalized on bedrest for preterm labor (B). Next she was on home bedrest except for three medical appointments to monitor her condition each week (C). At 37.5 weeks she began contracting and entered the hospital. Three hours later, she gave birth (D). Journal of Obstetric, Gynecologic & Neonatal Nursing 2004 33, 774-782DOI: (10.1177/0884217504270594) Copyright © 2004 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses Terms and Conditions

Figure 2 Hours postbirth during which the mother either successfully breastfed her baby or attempted to breastfeed. The six failed breastfeeding attempts occurring every 3 hours per hospital protocol. After the mother breastfed skin-to-skin and on cue beginning at 18 hours postbirth, all breastfeedings were successful. Note the "catch-up" time between 40 and 43 hours post birth. S = successful breastfeeding after birth; F = failed breastfeeding attempts; *SK = successful breastfeeding in kangaroo care with assistance once from nurse researcher; SK = successful breastfeeding in kangaroo care. Journal of Obstetric, Gynecologic & Neonatal Nursing 2004 33, 774-782DOI: (10.1177/0884217504270594) Copyright © 2004 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses Terms and Conditions

Figure 3 Research Nurse Listening to Mother's Story When Mother and Infant Are Experiencing Skin-to-Skin Contact. Journal of Obstetric, Gynecologic & Neonatal Nursing 2004 33, 774-782DOI: (10.1177/0884217504270594) Copyright © 2004 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses Terms and Conditions

Figure 4 Enhanced Bonding Through Skin-to-Skin Contact. Journal of Obstetric, Gynecologic & Neonatal Nursing 2004 33, 774-782DOI: (10.1177/0884217504270594) Copyright © 2004 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses Terms and Conditions